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Jerald Dale Wiley, DC
Chiropractor in Great Falls, Montana
NPI 1528123130

Jerald Dale Wiley is a Chiropractor based in Vaughn, MT. Jerald Dale Wiley practices in Great Falls, MT and has the professional credentials of DC. The NPI Number for Jerald Dale Wiley is 1528123130 and holds a License No. 786 (Montana).

The current practice location address for Jerald Dale Wiley is 1520 3Rd St Nw, Great Falls, MT and can be reached out via phone at 406-727-5757 and via fax at 406-727-7006.

Location: 1520 3Rd St Nw, Great Falls, MT, 59487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528123130
Provider Name
Jerald Dale Wiley
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1520 3Rd St Nw, Great Falls, MT, 59487
Phone Number
406-727-5757
Fax Number
406-727-7006
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00040903 01 MT BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1520 3Rd St Nw
City
Great Falls
State
Montana
Zip
59404
Phone Number
406-727-5757
Fax Number
406-727-7006
person
Provider Business Mailing Address Details
Address
1520 3Rd St Nw
City
Great Falls
State
Montana
Zip
59404
Phone Number
406-727-5757
Fax Number
406-727-7006
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
786 (Montana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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